CAJ | 학술논문

目的探讨以自我护理理论为指导的鼻咽癌自我护理计划对鼻咽癌病人生活质量的影响.方法将66例鼻咽癌病人随机分为对照组和观察组,对照组31例,观察组35例,观察组应用自护理论进行护理,对照组只予常规健康教育指导,评价两组病人治疗配合程度及生活质量情况.结果观察组治疗期间在口腔、皮肤护理方面能很好配合(P＜ 0.01),锻炼方面也较配合(P＜ 0.05),而饮食方面差异无统计学意义(P＞0.05).治疗后观察组病人皮肤反应较对照组轻(P＜ 0.05),黏膜反应、颞颌关节障碍发生较对照组明显减少(P＜0.01).结论运用自护理论进行护理,能提高病人的配合程度,减轻治疗后不良反应的发生,提高病人的生活质量.
목적 탐토이자아호리이론위지도적비인암자아호리계화대비인암병인생활질량적영향.방법 장66례비인암병인수궤분위대조조화관찰조,대조조31례,관찰조35례,관찰조응용자호이론진행호리,대조조지여상규건강교육지도,평개량조병인치료배합정도급생활질량정황.결과 관찰조치료기간재구강、피부호리방면능흔호배합(P＜ 0.01),단련방면야교배합(P＜ 0.05),이음식방면차이무통계학의의(P＞0.05).치료후관찰조병인피부반응교대조조경(P＜ 0.05),점막반응、섭합관절장애발생교대조조명현감소(P＜0.01).결론 운용자호이론진행호리,능제고병인적배합정도,감경치료후불량반응적발생,제고병인적생활질량.
Objective To explore the influence of self-care plan guided by self-care theory on quality of life in patients with nasopharyngeal carcinoma.Methods 66 patients with nasopharyngeal carcinoma were randomly divided into a control group and a study group.The study group received nursing care with application of self-care theory,while the control group received routine health education.Degrees of treatment compliance and quality of life were assessed in the two groups.Results In the study group,the patients could cooperated with oral and skin care ( P＜ 0.01 ),and body excises ( P＜ 0.05 ) during treatment.Dietary did not differ significantly ( P＞ 0.05 ).After treatment,skin reactions were slighter in the study group than in the control group ( P ＜ 0.05 ).The incidence rates of mucosal reactions and temporomandibular joint disorder were obviously lower in the study group than in the control group ( P＜0.01 ).Conclusions Application of self-care theory in nursing care can improve degree of patient compliance,reduce the occurrence of adverse reactions associated with treatment,and improve quality of life in patients.